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Related Experiment Videos

Vesica percutaneous bladder neck stabilization

R A Appell1, R R Rackley, R R Dmochowski

  • 1Section of Voiding Dysfunction and Female Urology, Cleveland Clinic Foundation, OH, USA.

Journal of Endourology
|June 1, 1996
PubMed
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The percutaneous bladder neck stabilization (PBNS) surgery effectively treats stress incontinence in women. This minimally invasive outpatient procedure achieved a 94% cure rate with minimal complications.

Area of Science:

  • Urology
  • Gynecology
  • Minimally Invasive Surgery

Background:

  • Stress urinary incontinence (SUI) is often caused by urethral hypermobility.
  • Traditional surgical treatments can be invasive with significant recovery times.

Purpose of the Study:

  • To evaluate the efficacy and safety of the modified Vesica percutaneous bladder neck stabilization (PBNS) procedure.
  • To assess the cure rate and complication profile of PBNS for SUI.

Main Methods:

  • The study involved 71 women undergoing a modified PBNS procedure.
  • Modifications included bone anchor fixation, a Z-suture of pelvic fascia, and urethral resuspension.
  • Cystoscopy confirmed suture placement, avoiding bladder entry.

Main Results:

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  • An overall cure rate of 94% for SUI was observed at 12-month follow-up.
  • Minimal morbidity was reported, with rare complications like abscess or skin sinus tract.
  • No cases of urinary retention exceeding 3 weeks occurred.

Conclusions:

  • The modified PBNS is a minimally invasive, effective outpatient technique for treating SUI.
  • It offers continence results comparable to traditional procedures with a favorable safety profile.